Individual
AMY RENEE PROFESORSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6030 THRASHER CT, CUMMING, GA 30028-2217
(919) 818-1897
Mailing address
6030 THRASHER CT, CUMMING, GA 30028-2217
(919) 818-1897
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT012918
GA
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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